Browse all standardized Remark Codes (RARC) used on Medicare, Medicaid, and commercial payer remittance advice (835 ERA / EOB). Each code includes its RA835 mapping, adjustment group, reason code, and a dedicated resolution guide.
Browse Claim Adjustment Reason Codes — the codes that explain why a payment was reduced or denied.
| Remark Code | Description | RA835 Code | Group | Reason Code | |
|---|---|---|---|---|---|
| Y751 | WOUND WARMING DEVICE IS NOT COVERED |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y752 | BONE DENSITY SERVICE REQUIRES AN APPROPRIATE DIAGNOSIS. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y753 | VITRECTOMIES BILLED WITHOUT A REQUIRED DIAGNOSIS CODE WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y754 | REFRACTIVE KERATOPLASTY WILL BE DENIED WHEN THE ONLY DIAGNOSIS CODE IS HYPEROPIA, MYOPIA OR ASTIGMA… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y755 | OFFICE CONSULTATION CODES BILLED WITH ROUTINE EXAMINATION DIAGNOSIS CODES WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y756 | AUDITORY SCREENING BILLED WITH WITH PREVENTIVE MEDICINE VISITS WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y757 | SPECIAL FUNCTION INTRAOCULAR LENS BILLED WITHOUT THE APPROPRIATE CATARACT REMOVAL SURGICAL CODES WI… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y758 | ALL USES OF SNCT TO DIAGNOSE SENSORY NEUROPATHIES OR RADICULOPATHIES ARE NONCOVERED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y759 | VAGUS NERVE STIMULATION BILLED WITH A DIAGNOSIS OF DEPRESSION WILL BE DENIED. |
N130
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CO | 96 | View → |
| Y760 | VISUAL ACUITY SCREENING WILL BE DENIED WHEN BILLED WITH E/M SERVICES. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y761 | DIAGNOSTIC IMAGING PROCEDURE REQUIRES A VALID PLACE OF SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y762 | DIRECT LARYNGOSCOPY PERFORMED ON PATIENTS UNDER AGE 2 REQUIRES A VALID PLACE OF SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y763 | VIDEOFLUOROSCOPY/ENDOSCOPIC SWALLOWING STUDIES REQUIRES A VALID PLACE OF SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y764 | HYPERBARIC OXYGEN REQUIRES A VALID DIAGNOSIS AND PLACE OF SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y765 | GASTRIC FREEZING IS A NON-COVERED SERVICE. |
N130
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CO | 96 | View → |
| Y766 | VENIPUNCTURE BILLED WITHOUT A COVERED DIAGNOSIS CODE WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y767 | CLINICAL TRIALS BILLED WITHOUT REQUIRED MODIFIER AND DIAGNOSIS CODE WILL BE DENIED. |
N130
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CO | 96 | View → |
| Y768 | SERVICES THAT ARE ELECTIVE IN NATURE AND DO NOT REMEDY A HEALTH STATE ARE CONSIDERED NONCOVERED. |
N130
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CO | 96 | View → |
| Y769 | DIGITAL RECTAL EXAMINATION BILLED WITH PREVENTIVE MEDICINE E/M CODES OR WELLNESS VISITS WILL BE DEN… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y770 | EXCISION/DESTRUCTION/CRYOTHERAPY OF BENIGN OR PREMALIGNANT SKIN LESIONS BILLED WITH INAPPROPRIATE P… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y771 | THERAPEUTIC, PROPHYLACTIC, AND DIAGNOSTIC INJECTIONS AND INFUSIONS BILLED WITH INAPPROPRIATE PLACE … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y772 | FABRIC WRAPPING OF ABDOMINAL ANEURYSMS IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y773 | CELLULAR THERAPY IS A NON-COVERED SERVICE. |
N130
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CO | 96 | View → |
| Y774 | PROLOTHERAPY IS A NON-COVERED SERVICE. |
N130
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CO | 96 | View → |
| Y775 | EDETATE DISODIUM, AND ITS RELATED ADMINISTRATIOM IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y776 | LUMBAR ARTIFICIAL DISC REPLACEMENT IS NOT COVERED WHEN PATIENT'S IS GREATER THAN 60 YEARS. |
N129
Not eligible due to the patient's age. |
CO | 6 | View → |
| Y777 | WHEELCHAIR SEATING CODE BILLED IS NON-COVERED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y778 | E/M SERVICES BILLED WITH CRITICAL CARE SERVICE WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y779 | DIAGNOSTIC ENDOCARDIAL ELECTRICAL STIMULATION IS NOT COVERED BY CMS WHEN BILLED WITHOUT AN APPROPRI… |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 50 | View → |
| Y780 | APPLICATION OF MODALITY TO ONE OR MORE AREAS; ELECTRICAL STIMULATION ; EACH 15 MINUTES IS NOT COVER… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y781 | ELECTRICAL STIMULATION/THERAPY IS NOT COVERED BY CMS IF BILLED IN NON-COVERED PLACE OF SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y782 | HYPERBARIC OXYGEN REQUIRES A VALID DIAGNOSIS |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 16 | View → |
| Y783 | NON-PHYSICIANS BILLING WITH MODIFIERS 80, 81 OR 82 WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y784 | PER MEDICARE'S ANATOMICAL MEDICALLY UNLIKELY EDITS POLICY, TOTAL UNITS BILLED FOR PROCEDURE WITH AN… |
N362
The number of Days or Units of Service exceeds our acc… |
CO | 222 | View → |
| Y785 | LABOR & DELIVERY SERVICE IS NOT COVERED BY CMS WHEN BILLED IN CONJUNCTION WITH GLOBAL PACKAGE VIA C… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y786 | C-SECTION DELIVERY SERVICE IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE ON THE SAME DATE OF SER… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y787 | PER CMS GUIDELINES, CO-SURGEON CLAIMS REQUIRE A VALID MODIFIER 62. REVIEW HISTORICAL CLAIM BILLED . |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y788 | PER CMS GUIDELINES, TEAM-SURGEON CLAIMS REQUIRE A VALID MODIFIER 66. REVIEW HISTORICAL CLAIM BILLED |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y789 | PER AMA GUIDELINES, INITIAL NEONATAL AND PEDIATRIC CRITICAL CARE WILL BE DENIED WHEN THE PATIENT HA… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y790 | PROFESSIONAL RADIOLOGY SERVICES BILLED BY A PROVIDER OTHER THAN AN ANESTHESIOLOGIST, CARDIOLOGIST, … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y791 | DURABLE MEDICAL EQUIPMENT OVER $300 REQUIRES PRE AUTH. |
N758
Adjusted based on the prior authorization decision. |
CO | 197 | View → |
| Y792 | DROP MEDICALLY UNLIKELY EDIT FOR EXCLUDED MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 96 | View → |
| Y793 | DROP MODIFIER 26 REQUIREMENT WHEN POS IS 24. |
N657
This should be billed with the appropriate code for th… |
CO | 96 | View → |
| Y794 | DROP BUNDLED SERVICE EDIT FOR PROCEDURE CODE 99050. |
M15
Separately billed services/tests have been bundled as … |
CO | 97 | View → |
| Y795 | A MULTIPLE PROCEDURE REDUCTION OF APPLIES TO PROCEDURE CODE. | — | CO | 45 | View → |
| Y796 | ANESTHESIA CODE REQUIRES AN APPROPRIATE MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y797 | REVENUE CODE REQUIRES PROCEDURE CODE. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| Y798 | CLINIC VISIT SHOULD BE BILLED ON PROFESSIONAL CLAIM |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y799 | PROCEDURE CODES WITH SURGERY INDICATOR I CAN NOT BE BILLED WITH SURGERY INDICATOR M OR E&M PROCEDUR… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y8 | THE PRINCIPAL DIAGNOSIS IS A DUPLICATE OF THE SECONDARY DIAGNOSIS |
N702
Decision based on review of previously adjudicated cla… |
CO | 18 | View → |
Remark Codes (RARC) are used on the 835 ERA and paper EOB to provide supplemental information about a claim adjustment. They always accompany a CARC (denial code) and clarify the reason for payment differences.
A Denial Code (CARC) explains why payment was adjusted. A Remark Code (RARC) provides additional context or instructions. Both appear together on remittance — look for the CARC first, then the RARC for detail.
Search by code number or keyword, or filter by adjustment group (CO, PR, OA…). Click any code to see its full RA835 mapping, common causes, step-by-step resolution guide, and appeal tips.